Raghid has 19 years of professional experience in strategic planning, business analysis, system architecture, application development, project management, and digital advertising. He excels in crafting best practice solutions that blend business theory and real-world applications. He has worked with clients in the automotive, financial, healthcare, education, retail, hospitality and entertainment industries including Chrysler, GM, Ford, Comerica, Prudential, Pfizer, and Johnson Controls.
Through an empirical study, this paper presents a model which identifies the factors that
impact the intention and decision of physicians in the USA to adopt and use EMR systems in
efforts to enhance the quality and reduce the costs of health care nationwide. The EMR Planned
Adoption Model introduces a multi-stage EMR system diffusion where the decision can be for
implementing a system for the first time or advancing the implementation through the adoption
of a subsequent level of the system. Consistent with the Theory of Planned Behavior, the
decision on EMR adoption is impacted by the intention (motivation) and the confidence
(perceived behavioral control) of physicians in the system. The intention itself is impacted by
attitude, confidence (perceived behavioral control) and government influence (subjective norm).
Attitude is the strongest influencer of intention and the influence of government on a physician’s
intention is marginal which reflects that physicians do not value subjective norm in general and
the government mandate in particular when deciding to adopt an EMR system. Factors that
influence attitude include peer perception, knowledge and perceived industry benefits while
confidence is influenced by exposure to EMR system levels, ease of acquisition and operational
disruption control. More than a third of the physicians (36 percent) reported that their practices
have the highest level of EMR system adoption and 7 percent said that they have no form of a
computerized system for the management of their medical records in their practices.